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Job Information Humana Associate Director, National Contracting Alabama in Honolulu Hawaii Description The Associate Director, Provider Contracting initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an ..
Description The Senior Project Manager, Medicaid Provider & Network Implementation (remote) is accountable for working with the Director, Provider & Network Implementation to assist with driving efficient management of end-to-end provider-related ..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Job Information Marriott Senior Manager, Social Media Management Platform in Honolulu Hawaii Job Number 23020999 Job Category Sales & Marketing Location Marriott International HQ, 7750 Wisconsin Avenue, Bethesda, Maryland, United States ..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive clinically appropriate and medically necessary services. All ..
Description The Lead, Technology and Cybersecurity Exams, Audits, and Client Inquiries is responsible for management of formal and informal technology reviews across IT. This involves a rigorous process which shapes and ..
Job Information Humana Manager, Compliance - Agent Investigation Unit in Honolulu Hawaii Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines and procedures; applies ..
Description Are you a change agent that wants to work in a scaled agile organization? Do you have an agile mindset and are interested in modern technology and delivery methods to ..
Job Information Marriott Director-Engineering in Honolulu Hawaii Additional Information Director, Electric Vehicle (EV) Charging Program Management Job Number 23034565 Job Category Engineering & Facilities Location Marriott International HQ, 7750 Wisconsin Avenue, ..
The Hilton Hawaiian Village & Hilton Waikoloa Village are looking for a dynamic individual to join their team as a Site and Affiliate Sales Manager who will actively promote the services ..
Description Deliver a simplified Dental Provider Experience by driving digital and technology solutions forward in a cross collaborative and influential manner Identify the solutions and structure needed to provide exceptional service ..
Additional Information Must sit in Southern CA, NV, or AZ. Job Number 23035457 Job Category Sales & Marketing Location WSWSALES Western SouthWest Sales, 7750 Wisconsin Avenue, Bethesda, Maryland, United States Schedule ..
Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
The Hiltons of Hawaii are looking for a dynamic and experienced Senior Sales Manager to join their team. This individual will be responsible for mid-range group sales for of our premier ..
Description Role is open to US Remote This role will include managing a team of DevSecOps engineers, architects, testers, developers, and specialists who build and support our application security orchestration platform. ..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
